RECOVERY SUPPORT (NPI# 1629583380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629583380 |
| Entity Type | Organization |
| Organization Name | RECOVERY SUPPORT |
| Other Organization Name | MY COMEBACK RECOVERY |
| Practice Address |
3920 S 1100 E Ste 315 Salt Lake City UT 84124-1213 |
| Practice Telephone | 8017277900 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | RAJIV R SHARMA (PHARMACIST/OWNER) |
| Authorized Official Telephone | 8016735612 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| My Comeback Recovery | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RECOVERY SUPPORT NETWORKS CORP | 111 Broadway, Amityville, Ny 11701 |
| Massachusetts Corporations | RECOVERY SUPPORT SPECIALISTS INC. | 239 Main Street, 2nd Floor Suite 2, Greenfield, MA 01301 |
| Massachusetts Corporations | RECOVERY SUPPORT SPECIALISTS, LLC | 239 Main Street, 2nd Floor Suite 2, Greenfield, MA 01301 |
| New York State Corporations | RECOVERY SUPPORT, INC. | 125 Jean Avenue, Syracuse, New York 13210 |
| Street Address |
3920 S 1100 E STE 315 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on RECOVERY SUPPORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.